Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Anderson, MD

Individual provider Internal Medicine Physician · NPI 1992737522

Jack Anderson, MD is an Internal Medicine Physician in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2500 E Capitol Dr
Appleton, WI 54911-8735
Phone: (920) 731-5811
Fax: (920) 738-6293
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 26238-020 (WI)

Record details

NPI number1992737522
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESNovember 16, 2011
Mailing addressPo Box 8003, Appleton, WI 54912-8003

Other providers in Appleton